CMS Price Transparency Data

X-ray, pelvis

Facility: Essentia Health St Mary's Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $175
  • Cash Discount Price: $210
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Essentia Health St Mary's Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$210

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $210 (197%)
Insurance Median: $175 (164%)
Cash: $210 (197% of Medicare)
Ins. Median: $175 (164% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medica Access $105 98%
Itasca Med Care $106 99%
Primewest $106 99%
Advocare/Security Health $107 100%
Blue Cross Blue Shield $107 - $254 100%
Freedom Blue Ppo $107 100%
Healthpartners Care Msho / Mcr Adv $107 100%
Imcare Msho (Ref Req) $107 100%
Imcare Msho Pcc Prime $107 100%
Imcare Msho Ref Req $107 100%
Medica Advantage Solutions $107 100%
Medica Msho/Dual Solutions $107 100%
Medica Prime Solution Group $107 100%
Medicare (plans) $107 100%
Nd Va Administration $107 100%
Platinum Blue / Vantage Blue $107 100%
Primewest Msho $107 100%
Secure Blue Msho $107 100%
Ubh Cost Plan $107 100%
Ubh Msho $107 100%
Ucare Msho $107 100%
UnitedHealthcare $107 - $233 100%
Healthpartners Care Pmap $127 119%
Sanford Health Plan $136 - $188 127%
Blue Plus Pmap Pcc Prime $140 - $159 131%
Medica $176 - $181 165%
Medica Uplan $176 165%
Healthpartners $190 - $227 178%
Medica Choice $194 182%
Ucare $209 196%
Cigna $227 213%
Healthpartners Pcc Prime $227 213%
Wea $229 - $245 214%
Security Health $245 229%
America'S Ppo $246 230%
Wps $264 - $267 247%
Aetna $270 253%
Healthscope Benefits $270 253%
Healtheos $273 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals